Provider Demographics
NPI:1659326973
Name:BOWERS, JAMES SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SCOTT
Last Name:BOWERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:18631 ALDERWOOD MALL PKWY
Mailing Address - Street 2:SUITE 304
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-8014
Mailing Address - Country:US
Mailing Address - Phone:425-654-3516
Mailing Address - Fax:425-654-3516
Practice Address - Street 1:18631 ALDERWOOD MALL PKWY
Practice Address - Street 2:SUITE 304
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-8014
Practice Address - Country:US
Practice Address - Phone:425-654-3516
Practice Address - Fax:425-654-3516
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00032657207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAF88881Medicare UPIN
WAGAB18449Medicare PIN